Reimbursement Updates

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With the other changes that have been coming our way – don’t  forget to check the CASPER system for your updated VBP information. You will also want to update this information in your financial...

Aetna Better Health® of Kansas Executive Update Webinars Announced

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Aetna Better Health of Kansas will provide Webinars on October 17th from 9:00 AM-10:00 AM, October 31st from 1:00-2:00 PM and November 11th from 12:00 1:00 PM to share updates on the health plan...

Sunflower Forum for HCBS and LTSS Providers

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When: Monday, November 11, 2019, 4:00 -6:00 PM Where: Fort Hays State University, Memorial Union Black & Gold Room, 700 College Dr., Hays, KS 67601 Reserve your seat today by emailing ProviderRelations@sunflowerhealthplan.com and include attendee’s name, organization name & tax...

PDPM Grouper Update From CMS

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The below message just came in from CMS announcing the second revision to the initial release of the Patient-Driven Payment Model (PDPM) Grouper software. (The first revision was released within jRAVEN only.) Effective beginning...

Reimbursement Advisory Group – Next Conference Call October 17

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LeadingAge Kansas recently established a Nursing Home Medicaid Reimbursement Advisory group to gain feedback from members about how they think the current reimbursement is working and gather recommendations for modifications. The group’s feedback will...

Two Documents and A Word About PDPM

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Well, here we are on the other side of October 1st. We’ve all known that PDPM was coming and you have all undoubtably taken steps to make sure your community is prepared. HERE are the nuts...

Change in SNF Reimbursement 7 Days Away

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We are 7 days away from the most substantive change in SNF reimbursement for quite some time.  There are a number of resources that are available and ongoing.  One of our partners, BKD, has...

Billing for Flu Vaccine

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Flu season is around the corner and CMS has released the 2019-2020 flu season billing codes. It would be a good time to familiarize yourself with the vaccine product that your community has ordered...

A Word From Our Reimbursement Consultant

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One of the topics that we have been discussing as of late is the possibility of creating a tool box of financial and revenue cycle information that providers could use for resources and training....

CMS Fixing SNF Payment Calculation Error

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CMS notified Skilled Nursing Providers on Aug. 22 that there was a calculation error in the FY2016 baseline period performance data that excluded certain SNF stays erroneously. CMS will be issuing corrected FY2020 Performance...

IMPORTANT: CMS Posts Final Version of MDS 3.0 and Allowable ICD Codes Available

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CMS has posted the final version (V3.00.1) of the MDS 3.0 Data Specifications for Skilled Nursing Facilities, which take effect Oct. 1. They also released the file of the allowable ICD codes in item I0020B...

Sunflower Electronic Funds Transfers (EFTs) and Electronic Remittance Advices (ERAs)

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Sunflower is pleased to partner with PaySpan Health to provide an innovative web based solution for Electronic Funds Transfers (EFTs) and Electronic Remittance Advices (ERAs). This service is provided at no cost to providers and allows...